Assisted Living
Harold and Louise Healthcare Center
135 Communication Dr, Hannibal, MO 63401 · Map
Licensed for 98 residents · HRW, INC
Harold and Louise Healthcare Center is a state-licensed assisted living community in Hannibal, Missouri. It is licensed for 98 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What Harold and Louise Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last inspection: Jul 7, 2026. See the record
License
Active, 98 residents
Residential Care Facility 052728, current license dated May 29, 2025. Licensee HRW, INC.
Nearest emergency room
4.1 miles
Hannibal Regional Hospital, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Harold and Louise Healthcare Center this community | 98 | Not published | Active | 58 requirements not met in 3 years | |
| Pleasant View | 0.9 mi | 41 | Not published | Active | 13 requirements not met in 3 years |
| Country Aire Estates | 8.4 mi | 16 | Not published | Active | 1 requirement not met in 3 years |
| Bristol Manor of Palmyra | 8.9 mi | 12 | Not published | Active | 4 requirements not met in 3 years |
| Good Samaritan Home of Quincy | 14.6 mi | 26 | Not published | Unknown | No record |
State inspection record58 requirements not met in 3 years
- Last inspection
- July 7, 2026
- Inspections in three years
- 6
- Complaint investigations in three years
- 10
- Requirements not met (all visits)
- 58
- Every deficiency from the July 7, 2026 visit was corrected by August 7, 2026
Visits (newest first)
- July 7, 2026: Complaint Investigation, State Licensure, 4 requirements not met · state results
- The facility shall follow appropriate infection control procedures. The administrator or his or her designee shall make a report to the local health authority or the department of the presence or suspected presence of any diseases or findings listed in 19 CSR 20-20.020, sections (1)-(3) according to the specified time frames as follows: (A) Category I diseases or findings shall be reported to the local health authority or to the department within twenty-four (24) hours of first knowledge or suspicion by telephone, facsimile, or other rapid communication; rule class I/II; corrected August 7, 2026
- The administrator/manager shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. rule class I/II; corrected August 7, 2026
- Fresh water shall be available to the resident at all times. rule class II/III; corrected August 7, 2026
- Toilet rooms shall be conveniently located and easily accessible to residents and employees. Toilet rooms shall be completely enclosed. Toilet fixtures shall be kept clean and in good repair. A supply of toilet tissue shall be provided at each toilet at all times. Easily cleanable receptacles shall be provided for waste materials. Toilet rooms used by women employees shall have at least one (1) covered waste receptacle. rule class III; corrected August 7, 2026
- January 27, 2026: State Licensure, 6 requirements not met · state results
- Range Hood Extinguishing Systems. (C) The range hood and its extinguishing system shall be certified at least twice annually in accordance with NFPA 96, 1998 edition. rule class II/III; corrected May 21, 2026
- Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. rule class I/II; corrected May 21, 2026
- Sprinkler Systems. (B) Facilities that have a sprinkler system installed prior to August 28, 2007, shall inspect, maintain, and test these systems in accordance with the requirements that were in effect for such facilities on August 27, 2007. rule class I/II; corrected May 21, 2026
- Interior Finish and Furnishings. (A) In a facility licensed on or after November 13, 1980, for more than twelve (12) beds, wall and ceiling surfaces of all occupied rooms and all exitways shall be classified either Class A or B interior finish as defined in NFPA 101, 2000 edition. rule class II; corrected May 21, 2026
- In facilities that are constructed or have plans approved after July 1, 2005, electrical wiring shall be installed and maintained in accordance with the requirements of the National Electrical Code, 1999 edition, National Fire Protection Association, Inc., incorporated by reference, in this rule and available by mail at One Batterymarch Park, Quincy, MA 02269, and local codes. This rule does not incorporate any subsequent amendments or additions to the materials incorporated by reference. Facilities built between September 28, 1979 and July 1, 2005 shall be maintained in accordance with the requirements of the National Electrical Code, which was in effect at the time of the original plan approval and local codes. This rule does not incorporate any subsequent amendments or additions. In facilities built prior to September 28, 1979, electrical wiring shall be maintained in good repair and shall not present a safety hazard. All facilities shall have wiring inspected every two (2) years by a qualified electrician. rule class II/III; corrected May 21, 2026
- If extension cords are used, they must be Underwriters ' Laboratory (UL)-approved or shall comply with other recognized electrical appliance approval standards and sized to carry the current required for the appliance used. Only one (1) appliance shall be connected to one (1) extension cord and only two (2) appliances may be served by one (1) duplex receptacle. If extension cords are used, they shall not be placed under rugs, through doorways or located where they are subject to physical damage. rule class II/III; corrected May 21, 2026
- June 18, 2025: Complaint Investigation, State Licensure, 2 requirements not met · state results
- Influenza and pneumococcal polysaccharide immunizations may be administered per physician-approved facility policy after assessment for contraindications. (A) The facility shall develop a policy that provides recommendations and assessment parameters for the administration of such immunizations. The policy shall be approved by the facility medical director for facilities having a medical director, or by each resident ' s attending physician for facilities that do not have a medical director, and shall include the requirements to: 2. Offer the immunization to the resident or obtain permission from the resident ' s designee or legally authorized representative when it is medically indicated, unless the resident has already been immunized as recommended by the policy; rule class II/III; corrected August 1, 2025
- Residents shall be encouraged to be active and to participate in activities. In a residential care facility licensed for more than twelve (12) residents, a method for informing the residents in advance of what activities are available, where they will be held and at what times they will be held shall be developed, maintained and used. rule class II/III; corrected August 1, 2025
- December 30, 2024: State Licensure, 7 requirements not met · state results
- Range Hood Extinguishing Systems. (C) The range hood and its extinguishing system shall be certified at least twice annually in accordance with NFPA 96, 1998 edition. rule class II/III; corrected March 31, 2025
- Fire Drills and Emergency Preparedness. (E) The facility shall keep a record of all fire drills. The record shall include the time, date, personnel participating, length of time to complete the fire drill, and a narrative notation of any special problems. rule class III; corrected March 31, 2025
- Exits, Stairways, and Fire Escapes. (G) All stairways and corridors shall be easily negotiable and shall be maintained free of obstructions. rule class II; corrected March 31, 2025
- Protection from Hazards. (B) The storage of unnecessary combustible materials in any part of a building in which a licensed facility is located is prohibited. rule class I/II; corrected March 31, 2025
- Smoking. (A) Smoking shall be permitted in designated areas only. Areas where smoking is permitted shall be designated as such and shall be supervised either directly or by a resident informing an employee of the facility that the area is being used for smoking. rule class II/III; corrected March 31, 2025
- Oxygen storage shall be in accordance with NFPA 99, 1999 Edition. rule class II/III; corrected March 31, 2025
- If extension cords are used, they must be Underwriters ' Laboratory (UL)-approved or shall comply with other recognized electrical appliance approval standards and sized to carry the current required for the appliance used. Only one (1) appliance shall be connected to one (1) extension cord and only two (2) appliances may be served by one (1) duplex receptacle. If extension cords are used, they shall not be placed under rugs, through doorways or located where they are subject to physical damage. rule class II/III; corrected March 31, 2025
- November 6, 2024: Complaint Investigation, 2 requirements not met · state results
- Effective measures intended to minimize the presence of rodents, flies, cockroaches and other insects on the premises shall be utilized. The premises shall be kept in such condition as to prevent the harborage or feeding of insects or rodents. rule class II/III; corrected April 21, 2025
- No resident shall be required to perform services for the facility. If the resident desires and it is not contraindicated by his or her physician, the resident may perform tasks or services for himself or herself or others. rule class II/III
Show all 10
- October 24, 2024: Complaint Investigation, 1 requirement not met · state results
- The facility shall develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of any resident and misappropriation of resident property and funds, and develop and implement policies that require a report to be made to the department for any resident or to both the department and the Department of Mental Health for any vulnerable person whom the administrator or employee has reasonable cause to believe has been abused or neglected. rule class II/III; corrected December 12, 2024
- October 10, 2024: Complaint Investigation, 3 requirements not met · state results
- Residents shall receive proper care to meet their needs. Physician orders shall be followed. rule class I/II; corrected April 21, 2025
- The administrator/manager shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, or for internal medication, removing an individual dose from the pharmacy container and placing it in a small container or liquid medium for the resident to remove from the container and self-administer. External prescription medication may be applied by facility personnel if the resident is unable to do so and the resident ' s physician so authorizes. All individuals who administer medication shall be trained in medication administration and, if not a physician or a licensed nurse, shall be a certified medication technician or level I medication aide. rule class I/II; corrected April 21, 2025
- If at any time a resident or prospective resident is diagnosed with a communicable disease, the department shall be notified within seven (7) days and if the facility can meet the resident ' s needs, the resident may be admitted or does not need to be transferred. Appropriate infection control procedures shall be followed if the resident remains in or is accepted by the facility . rule class I/II; corrected December 12, 2024
- September 24, 2024: Complaint Investigation, 1 requirement not met · state results
- Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. rule class I/II; corrected December 12, 2024
- June 3, 2024: Complaint Investigation, 2 requirements not met · state results
- Medication Orders. (A) Physician ' s instructions, as evidenced by the prescription label or by signed order of a physician, shall be accurately followed. If the physician changes the order which is designated on a prescription label, there shall be on file in the resident ' s record a signed physician ' s order to that effect with the amended instructions for use or until the prescription label is changed by the pharmacy to reflect the new order. rule class II/III; corrected June 10, 2024
- No resident may be discharged without full and adequate notice of his or her right to a hearing before the department's Administrative Hearings Unit and an opportunity to be heard on the issue of whether his or her discharge is necessary. Such notice shall be given in writing no less than thirty (30) days in advance of the discharge except in the case of an emergency discharge and must comply with the requirements set forth in 19 CSR 30-82.050. rule class II/III; corrected June 10, 2024
- March 5, 2024: Complaint Investigation, 1 requirement not met · state results
- Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. rule class I/II; corrected April 27, 2024
Search Show Me Long Term Care → (HAROLD AND LOUISE HEALTHCARE CENTER, Residential Care Facility I)
What these terms mean
DHSS: the results page shows “the requirements the facility failed to meet, the corrected date, level of harm, and residents affected.” Facilities must keep the full statements of deficiencies and plans of correction on site for anyone to read.
Missouri law (RSMo 198.085) sorts every standard into three classes: “Class I standards are standards the violation of which would present either an imminent danger to the health, safety or welfare of any resident or a substantial probability that death or serious physical harm would result; Class II standards are standards which have a direct or immediate relationship to the health, safety or welfare of any resident, but which do not create imminent danger; Class III standards are standards which have an indirect or a potential impact on the health, safety or welfare of any resident.” The class shown is the one the rule carries; some rules carry two (for example II/III).
Show Me Long Term Care lists no license numbers; this record was matched to the community by name and address. This community is licensed for 98 residents; larger communities are inspected and cited more often, so read counts with size in mind. Source: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee HRW, INC
- License type
- Residential Care Facility
- License number
- 052728
- License status
- Active
- Current license dated
- 2025-05-29
- Licensed capacity
- 98
- Licensee
- HRW, INC
- County
- Marion County
- Administrator
- Ramonzo Douglas
Source: Missouri state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Missouri licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Missouri, and other programs
How Medicaid pays for care in Missouri
- MO HealthNet Personal Care Program (state plan personal care). MO HealthNet (Missouri Medicaid) can pay for personal care services for eligible residents of licensed residential care facilities and assisted living facilities, if DHSS finds they need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 4.1 mi, nursing home 0.9 mi, pharmacy 0.7 mi
- Nearest hospital with an emergency room
- Hannibal Regional Hospital, Hannibal. 4.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Beth Haven Nursing Home, Hannibal. 0.9 miles away, straight line.
- Nearest home health agency office
- Hannibal Regional Hospital Home Health Agency, Hannibal. 4.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63401 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Hannibal Dialysis, Hannibal, 4.1 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 63401.
- Nearest geriatric medicine practice
- Quincy Physicians And Surgeons Clinic, PLLC, Quincy. 15.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in July 2026. What was it, and how was it fixed?
- The current license dates from 2025. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 4 questions families ask
What type of care does Harold and Louise Healthcare Center provide?
Harold and Louise Healthcare Center is licensed by the state of Missouri for assisted living in Hannibal, Missouri. Its licensed capacity is 98 residents.
Does Lilisity rate Harold and Louise Healthcare Center?
No. We publish state licensing details for Harold and Louise Healthcare Center but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Harold and Louise Healthcare Center cost?
Assisted Living in Missouri typically starts at $4,100 to $5,100 a month. Based on 109 communities that publish prices. These are area figures, not this community's price. Harold and Louise Healthcare Center does not publish its prices.
How do I contact Harold and Louise Healthcare Center?
Use Harold and Louise Healthcare Center's website, hrwcompanies.com, or visit at 135 Communication Dr, Hannibal, MO 63401.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid